33D2173873 CLIA NUMBER - MOUNT VERNON DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 33D2173873
  • Facility Name: MOUNT VERNON DIALYSIS LLC
  • Facility Address: 12 N 7TH AVE - 3RD FLOOR
    MOUNT VERNON, NY
    ZIP 10550
  • Facility Phone: 914 665-4343
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER O. ADUBOR
  • NPI Number: 1013107358
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2173873
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MOUNT VERNON DIALYSIS LLC
Street 12 N 7TH AVE - 3RD FLOOR
City MOUNT VERNON
State NY
ZIP 10550
Phone 914 665-4343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2019
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. CHRISTOPHER O. ADUBOR

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This page was last updated on: 9/29/2025